Patricia Ann Bullick

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 26166 Issued in ID

Practice address

1686 W Riverstone Dr
Coeur D Alene, ID 83814-6051

Phone

(208) 765-4795

Fax

(208) 765-2903

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beyond Limits Counseling

  • Psychiatric/Mental Health Nurse Practitioner
  • Kenai, AK
  • NPI 1073102372

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1831110568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 478",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838160478",
            "telephone_number": "208-765-4795",
            "fax_number": "208-765-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1686 W RIVERSTONE DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146051",
            "telephone_number": "208-765-4795",
            "fax_number": "208-765-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLICK",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW 26166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807261800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey S Buckland, PA
• Golden Thaddeus Buckland III, M.D.
• Marciea W. Buckley, LSW
• Huy Bui, PHARM D
• Mercedes Ann Bull, APRN
• Erin Bundy
• Lisa Bunker, LCPC
• Christine Raye Bunton, MSW
• Nicole Shiree Burbank, MD
• Kayla Burger, PT

• Clinical Social Worker in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.